Factors associated with stigma in community-dwelling stroke survivors in China: A cross-sectional study

Deng, Cuiyu; Lu, Qi; Yang, Lingge; Wu, Rui; Liu, Yi; Li, LiYa; Chen, Shixiang; Wei, Siqi; Wang, Yulu; Huang, Yaqi; Fu, Li; Zhao, Yue

doi:10.1016/j.jns.2019.116459

Cited by 27 publications

(34 citation statements)

References 28 publications

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“…Various studies have shown that many factors in uence stigma among patients. Demographic and clinical characteristics, such as gender, age, marital status, and employment have been connected to stigma [20][21][22] . Stigma was even stronger among young men [21,22] .…”

Section: Introductionmentioning

confidence: 99%

Stigma and related influencing factors in postoperative oral cancer patients in China: a cross-sectional study

Tan

Zhong

Mei

et al. 2022

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To examine the level of stigma and identify its in uencing factors among postoperative oral cancer patients in China. MethodsIn total, 274 postoperative oral cancer patients were recruited from a Grade A Tertiary Hospital in China using convenience sampling methods. Patients completed the Social Impact Scale (SIS), Medical Coping Mode Questionnaire (MCMQ), Social Support Rating Scale (SSRS), and General Self-e cacy Scale (GSE). ResultsStigma reported by postoperative oral cancer patients was moderate (50.17±21.24). Stepped Multiple Linear Regression showed that the related factors in uencing their feelings of stigma were education level (β = -0.122, P<0.001), smoking (β = -0.140, P<0.001), betel-quid chewing (β = -0.136, P<0.001), type of oral cancer (β = -0.399, P<0.001), pathology type (β = -0.077, P<0.001), confrontation (β = 0.116, P<0.001), avoidance (β = 0.136, P<0.001), and self-e cacy (βv= -0.282, P<0.001), which explained 70.3% of the total variation in stigma (F = 81.829, P<0.001). ConclusionsStigma was positively predicted by avoidance coping strategies, but negatively predicted by education level, smoking, betel-quid chewing, type of oral cancer, pathology type, confronting coping strategies, and self-e cacy. Further work should focus on developing interventions to reduce stigma by improving protective factors and decreasing risk factors.

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Section: Introductionmentioning

confidence: 99%

Stigma and related influencing factors in postoperative oral cancer patients in China: a cross-sectional study

Tan

Zhong

Mei

et al. 2022

Support Care Cancer

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“…They may also feel shameful and deviant on an individual level because of lacking independence and being a burden to family, which is called felt stigma. 12 Stigma can adversely affect stroke patients’ rehabilitation process, especially for those with sequelae. Hyman demonstrated that stigma decreased the patient’s motivation and functional improvement during rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

The effect of stigma on social participation in community-dwelling Chinese patients with stroke sequelae: A cross-sectional study

Wang

et al. 2021

Clin Rehabil

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Objective To explore the effect of stigma on social participation in community-dwelling Chinese patients with stroke sequelae. Design A cross-sectional survey study. Setting The study was conducted in two community centres in Tianjin, China. Subjects Community-dwelling Chinese patients with stroke sequelae. Measures Chinese version of Stigma Scale for Chronic Illness, Chinese version of Impact on Participation and Autonomy, Modified Barthel index, Self-Rating Depression Scale, Social Support Rating Scale, Medical Coping Modes Questionnaire, background and disease-related questions. Pearson’s correlation coefficients were computed between stigma and social participation. The impact of stigma on social participation was estimated by hierarchical multiple regression analysis after controlling for demographic, physical and psychosocial characteristics. Results In total, 136 patients with stroke sequelae were included in this study, with a mean age of 67.8 years. The Chinese version of the Stigma Scale for Chronic Illness had a mean score of 48.4 (SD 16.9), and the Chinese version of the Impact on Participation and Autonomy was 67.1 (SD 21.1). Significant correlations were found between stigma and social participation. Pearson’s correlation coefficient ranged from 0.354 to 0.605 ( P < 0.01). Enacted stigma provided a significant explanation for the variance of social participation by 1.1% ( P < 0.05). Felt stigma provided a significant explanation for the variance of social participation by 2.9% ( P < 0.001). Conclusion Felt stigma and enacted stigma have independent associations with social participation. Patients with stroke sequelae who reported higher stigma experienced a lower level of social participation.

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“…Other researchers [ 31 , 32 ] have also explored the effects of stigma on anxiety. Some hospital staff assessments found that HCWs reported anxiety symptoms, with concerns centred on the viral infection, the fear of infecting families, and the associated health consequences [ 33 , 34 ].…”

Section: Methodsmentioning

confidence: 99%

Understanding the effects of COVID-19 stigmatisation on job performance: a survey of frontline healthcare workers

et al. 2022

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The level of stigmatisation among health care providers has increased during the COVID-19 pandemic, and understanding the effect of COVID-19 stigmatisation on job performance has become increasingly important. The study explores the influence of COVID-19 stigmatisation on job performance among frontline health workers via the mediating role of anxiety. Furthermore, the moderating effect of resilience in the association between COVID-19 stigmatisation and anxiety is further examined. Participants were made up of 820 frontline health workers working in the epicentres of the Bono Ahafo, Western, Greater Accra, and Northern regions of Ghana. The hierarchical regression technique was employed in estimating the relationship between the variables. COVID-19 stigmatisation among frontline health workers directly affected anxiety and performance. In addition, the results showed that resilience moderated the relationship between COVID-19 stigmatisation and anxiety. The findings again demonstrated that anxiety partially mediated the association between concern for disclosure and public attitude and negative experience and job performance, whereas personalised stigma was insignificant. The study provides implications for establishing anti-stigma interventions and programs to enhance job performance among health workers. Key messages Many healthcare workers are subject to stigmatisation during the COVID-19 pandemic. The study employs hierarchical regression methods to examine the impacts of COVID-19 stigmatisation on job performance among frontline health workers. The health management team should strengthen interventions to control the stigma experienced by health workers during COVID-19 treatments.

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Factors associated with stigma in community-dwelling stroke survivors in China: A cross-sectional study

Cited by 27 publications

References 28 publications

Stigma and related influencing factors in postoperative oral cancer patients in China: a cross-sectional study

Stigma and related influencing factors in postoperative oral cancer patients in China: a cross-sectional study

The effect of stigma on social participation in community-dwelling Chinese patients with stroke sequelae: A cross-sectional study

Understanding the effects of COVID-19 stigmatisation on job performance: a survey of frontline healthcare workers

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